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While you can put new drywall over old drywall, it’s not always the best option. In some cases, drywalling over drywall can make it harder to find wires and pipes behind your walls and conceal more serious problems with your walls. It can also make the room smaller. On the plus side, putting drywall over drywall can improve soundproofing and insulation. Plus, it’s often less expensive than tearing down and adding new drywall.

Drywall can be toxic to the environment and to humans in some cases. As drywall breaks down in a landfill and comes in contact with other organic chemicals, it can create hydrogen sulfide gas or leach into the groundwater. Additionally, the CDC recommends methods for controlling the inhalation of drywall dust when handled. While the common ingredients of drywall—gypsum, silica, and mica—are naturally occurring, they can cause irritation in some humans.

Plaster ceilings can sag for several reasons. In some cases, the plaster and other building materials shift and come apart over time, which is why you’ll commonly find drooping plaster ceilings in older homes. Improper installation, foot traffic, and water damage—often from a leaky roof or a broken pipe—can also cause plaster ceilings to sag.

Deciding whether to repair or replace drywall can be tricky, but your top considerations should be the extent of the damage and what caused the damage. For instance, if you need to repair a small hole caused by a doorknob that hit the wall, you can safely patch it without a second thought. However, if you have significant drywall damage caused by water damage, it’s best to thoroughly remove the drywall to inspect and repair the pipes behind it before replacing it.